Kerrville Pediatric Dentistry, Pllc

NPI #1366848129 in Kerrville, Texas

Provider Information

NPI Number
1366848129
Entity Type
Organization
Organization Name
Kerrville Pediatric Dentistry, Pllc
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Nov 6, 2014
Last Updated
Nov 6, 2014

Practice Location

Address
1700 SIDNEY BAKER ST
Address 2
SUITE #200
State
Texas
ZIP Code
78028-2654
Phone
(210) 632-4560

Authorized Official

Name
JOANNA AYALA, D.M.D.
Title
MANAGING MEMBER
Phone
(210) 632-4560

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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